Risk factors for complications after congenital cataract surgery without intraocular lens implantation in the first 18 months of life
Risk factors for complications after congenital cataract surgery without intraocular lens implantation in the first 18 months of life
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DOI：
10.1016/j.ajo.2008.02.014
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发表时间：
2008-07-01
影响因子：
4.2
通讯作者：
Hattenbach, Lars-Olof
中科院分区：
文献类型：
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作者：
Kuhli-Hattenbach, Claudia;Luechtenberg, Marc;Hattenbach, Lars-Olof
目得：为了确定儿童白内障手术后的术后并发症的发展在头18个月的生命。设计：干预，连续的casesseries.METHODS：我们回顾性地审查了71眼的记录46名儿童谁接受了先天性白内障手术在头18个月的生命。在所有儿童中进行了角膜缘入路双手透镜抽吸、后囊膜、裂沟和前部玻璃体切除术，而没有植入人工透镜。我们研究了手术和术后并发症与其他变量（如患者年龄、家族史或眼部异常）的相互关系。结果：术后并发症以迟发性开角型青光眼（10.8%）和玻璃体积血（10.8%）最多见，而早发性青光眼（4.6%）较少见。继发性白内障7眼（9.2%）。我们确定了一级亲属中有无晶状体青光眼家族史（P = 0.007）以及出生后前三个月内有白内障手术史（P = 0.039）和核性白内障（P = 0.0009）是晚发性青光眼的强预测因子。继发性白内障的形成与出生后5个月内的晶状体切除术密切相关。术后胎儿血管畸形的诊断与胎儿是否存在持续性血管存在显著相关（P
PURPOSE: To determine individual risk factors for the development of postoperative complications after pediatric cataract surgery in the first 18 months of life.DESIGN: Interventional, consecutive case series.METHODS: We retrospectively reviewed the records of 71 eyes of 46 children who underwent surgery for congenital cataract within the first 18 months of life. A limbal approach bimanual lens aspiration, posterior cap, sulorrhexis, and anterior vitrectomy without intraocular lens implantation was performed in all children. We examined the interrelationships of operative and postoperative complications with other variables such as patient age, family history, or ocular abnormalities. The mean follow,up period was 39 months.RESULTS: The most frequent postoperative complications were late-onset open-angle glaucoma (10.8%) and vitreous hemorrhage (10.8%), whereas early-onset glaucoma (4.6%) was less common. Secondary cataract was observed in seven eyes (9.2%). We determined a family history of aphakic glaucoma in first,degree relatives (P =.007) as well as cataract surgery in the first three months of life (P =.039) and nuclear cataracts (P =.0009) to be strong predictors of late-onset glaucoma. Secondary cataract formation was associated strongly with lensectomy in the first five months of life. The diagnosis of postoperative hemorrhages was associated significantly with the presence of persistent fetal vasculature (P